Survey On The Present Situations Of The Technical Service Of Mother And Infant Health Care In Chongqing City

Objective: To understand current situation of the technicalservice of mother and infant health care, analyse the existing problems ofthe technical service,so as to provide objective basis for reasonableallocation of human resources in public health centers of Chongqing City.Methods:1Literature analysis: The related literature about the definition,research progress of the technical service of mother and infant carethrough retrieving the data base of WanFang, WeiPu, CNKI, etc. The dataand policy mainly came from the relevant paper material and electronicdocuments in Chongqing health bureau and Chongqing health supervisionbureau.2Questionnaire and Form: The ten districts of Jiulongpo、Yuzhong、Nanan、Shapingba、Jiangbei、Fulin、Wanzhou、Qianjiang、Hechuan were selected from Chongqing using the second level of clustersampling method based on the economic and geographicconsideration.Invest218medical institutions,including10Organizations directly under the Chongqing health bureau,3tertiary care hospitals,25second-class Hospitals,23grade-one hospitals;9second-class maternaland child care service centres,and1grade-one maternal and child careservice centre;30Community Health Centers;17Township HealthCenters;19The outpatient departments;54Clinics;27Village clinics. Thesurvey covers premarital medical examination、 diagnosis of geneticdisease、prenatal diagnosis、ligation operation、operations for terminationof gestation and midwifery6aspects.3Qualitative interviews: Designed the semi-structuredinterviews outline and conducted personal interviews in the case of theinterviewees’ consent.The interviewees mainly came from the communityhealth service center, and engaged in maternal and child health technologyservices. The Interview was used the mode of one interviewer with onerecorder. The views and opinions were formed after auditing, arranging,filing,analyzing the interview data.4Result analysis: Quantitative data were arranged by usingthe Epidata3.10established a database template. SAS was applied to dosome descriptive analysis and Chi-square test. Drawing by the means ofEXCEL. The knowledge of public health management, social medicine,psychology and demography was been applied comprehensively to do theanalysis and evaluation. 5Quality control: The investigators were unified training andhad a clear division of labor. Selected a second-class hospital forpre-survey before the investigation. Timely adjusted and added someunreasonable aspects of the questionnaire according to the actualsituation. The questionnaires were been given out on-site,filled under theguidance and taken back immediately after being completed. After the auditUnited Coding and data entering were accomplished after thequestionnaires were been reviewed.Results: Investigate93medical institution who develop thetechnical service of mother and infant health care term and13medicalinstitution developed without asking permission, examine medical workers1379who be engaged in the technical service of mother and infant healthcare and nearly60%without certificate.It is reasonable the age structure(below40years old made up59.32%)、 the educational experience(University degree accounted for34.23%) and the academic title(Intermediate staff accounts for33.45%) that among the staffs of motherand infant health care;But it is very different from district and among thehospitals at all levels;The staffs of mother and infant health care who havedifferent educational levels has significant difference in the distribution ofthe hospitals (P<0.001); And also has significant difference in thedistribution of the each district and county (P<0.001).Conclusion: Adjust the distribution of other and infant health human resources, enlarge moderately the number of nursing staff、pre-marital medical examination、prenatal diagnosis and genetic diseasesdiagnosis, effectively enhance the areal equity.hold be strengthenenterprise supervision and to approve strict the license system, enhanceknowledge of law and improve supervision management level.